Urinary tract infections

Question 1

Risk factors for UTI?

Answer 1

Being female 
Pregnancy
Menopause
Sexual intercourse 
Immunosuppression 
Catheter in situ

Question 2

What urine dipstick result would indicate UTI?

Answer 2

Leucocytes, nitrites, trace blood

Question 3

What organisms cause UTIs?

Answer 3

Most commonly E coli

Can also be Proteus mirabilis or Klebsiella

Question 4

What is the broad management for UTIs?

Answer 4

Urine dipstick, send MSU for cultures, antibiotics as appropriate per cultures, advise plenty of fluids and regular voiding

Question 5

What is the management of UTIs in pregnant women?

Answer 5

Antibiotics for all bacteriuria

Refer to obs consultant

Question 6

What is the management of UTIs in non-pregnant women?

Answer 6

Antibiotics as appropriate for sensitivity of MSU - if upper, IV co-amox then oral co-amox when afebrile, if lower then nitro/trimethoprim
Advise to drink plenty of fluids, cranberry juice
Consider blood cultures if systemically unwell

Question 7

What is the management of UTIs in men?

Answer 7

Consider course of quinolone HOWEVER if >65 and asymptomatic, antibiotics not recommended
Refer to urologist as UTI likely due to anatomical/functional anomaly